The 2022 edition of ICD-10-CM Z93.6 became effective on October 1, 2021.
Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
A. Use CPT® code 57311 Closure of urethrovaginal fistula with bulbocavernosus transplant. Append the 52 modifier since bulbocavernosus transplant was not performed.
A. Both surgeons should use the CPT® code 51596, Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder, with modifier -62, Two Surgeons.
For the laparoscopic prostatectomy there is only one CPT® code 55866 Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed, now for the laparoscopic cystectomy there is no CPT code so we would have to use an unlisted code, 51999 Unlisted laparoscopy procedure, bladder. The unlisted code would need to be equated to a similar CPT code. You may query your physician.
The CPT code (s) use for the open cystoprostatectomy are 51570 Cystectomy complete (separate procedure) and 55840 Prostatectomy, retropubic radical, with or without nerve sparing. There should be supporting documentation for both procedures.
This implant is comprised of synthetic material, which is injected cystoscopically through the urethra into the bladder neck. A skin test is not required before using this product.
If additional procedure (s), including add-on procedure (s), are performed by either surgeon during the same surgical session, separate code (s) can be reported without modifier 62. As of (date) Medicare changed their rules for billing modifier 62 Two surgeons must be from different specialties.